<table cellspacing="0" style="border-collapse:collapse; width:576px">
	<tbody>
		<tr>
			<td colspan="9" style="border-color:red; border-style:solid; border-width:2px; height:38px; width:576px">
				<strong>
					<em>
						<u>
							<span style="color:#833c0c">
								<span style="font-family:agency fb">
									<span style="font-size:xx-large">operatie</span>
								</span>
							</span>
						</u>
					</em>
				</strong>
			</td>
		</tr>
		<tr>
			<td colspan="2" style="background-color:yellow; border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:53px; width:128px">
				<span style="color:#000000">
					<span style="font-family:calibri">
						<span style="font-size:small">start temperatuur:</span>
					</span>
				</span>
			</td>
			<td style="border-color:currentcolor currentcolor black; border-style:none none solid; border-width:medium medium 1px; width:64px">
				<span style="color:#000000">
					<span style="font-family:calibri">
						<span style="font-size:small">&nbsp;</span>
					</span>
				</span>
			</td>
			<td style="border-color:black; border-style:dashed; border-width:1px; width:64px">
				<span style="color:#000000">
					<span style="font-family:calibri">
						<span style="font-size:small">&nbsp;</span>
					</span>
				</span>
			</td>
			<td colspan="2" style="border-color:black black black currentcolor; border-style:dashed dashed dashed none; border-width:1px 1px 1px medium; width:128px">
				<span style="color:#000000">
					<span style="font-family:calibri">
						<span style="font-size:small">&nbsp;</span>
					</span>
				</span>
			</td>
			<td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; width:64px">
				<strong>
					<em>
						<span style="color:#bf8f00">
							<span style="font-family:calibri">
								<span style="font-size:small">eind temperatuur:</span>
							</span>
						</span>
					</em>
				</strong>
			</td>
			<td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; width:64px">
				<span style="color:#000000">
					<span style="font-family:calibri">
						<span style="font-size:small">&nbsp;</span>
					</span>
				</span>
			</td>
			<td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; width:64px">
				<span style="color:#000000">
					<span style="font-family:calibri">
						<span style="font-size:small">&nbsp;</span>
					</span>
				</span>
			</td>
		</tr>
		<tr>
			<td style="background-color:#92d050; border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:21px; width:64px">
				<span style="color:#000000">
					<span style="font-family:calibri">
						<span style="font-size:small">pols:</span>
					</span>
				</span>
			</td>
			<td colspan="2" style="border-color:black black black currentcolor; border-style:solid solid solid none; border-width:1px 1px 1px medium; width:128px">
				<span style="color:#000000">
					<span style="font-family:calibri">
						<span style="font-size:small">&nbsp;</span>
					</span>
				</span>
			</td>
			<td colspan="3" style="border-color:currentcolor black currentcolor currentcolor; border-style:none solid none none; border-width:medium 1px medium medium; width:192px">
				<span style="color:#000000">
					<span style="font-family:calibri">
						<span style="font-size:small">&nbsp;</span>
					</span>
				</span>
			</td>
			<td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; width:64px">
				<span style="color:#000000">
					<span style="font-family:calibri">
						<span style="font-size:small">&nbsp;</span>
					</span>
				</span>
			</td>
			<td colspan="2" style="border-color:black black black currentcolor; border-style:solid solid solid none; border-width:1px 1px 1px medium; width:128px">
				<span style="color:#000000">
					<span style="font-family:calibri">
						<span style="font-size:small">&nbsp;</span>
					</span>
				</span>
			</td>
		</tr>
		<tr>
			<td style="background-color:#00b050; border-color:currentcolor black black; border-style:none solid solid; border-width:medium 1px 1px; height:36px; width:64px">
				<strong>
					<span style="color:#000000">
						<span style="font-family:calibri">
							<span style="font-size:small">ademhaling:</span>
						</span>
					</span>
				</strong>
			</td>
			<td colspan="2" style="border-color:black currentcolor; border-style:solid none; border-width:1px medium; width:128px">
				<span style="color:#000000">
					<span style="font-family:calibri">
						<span style="font-size:small">&nbsp;</span>
					</span>
				</span>
			</td>
			<td colspan="3" style="border-color:black; border-style:solid; border-width:2px; width:192px">
				<span style="color:#000000">
					<span style="font-family:calibri">
						<span style="font-size:small">&nbsp;</span>
					</span>
				</span>
			</td>
			<td style="border-color:currentcolor black black currentcolor; border-style:none solid solid none; border-width:medium 1px 1px medium; width:64px">
				<span style="color:#000000">
					<span style="font-family:calibri">
						<span style="font-size:small">&nbsp;</span>
					</span>
				</span>
			</td>
			<td colspan="2" style="border-color:black black black currentcolor; border-style:solid solid solid none; border-width:1px 1px 1px medium; width:128px">
				<span style="color:#000000">
					<span style="font-family:calibri">
						<span style="font-size:small">&nbsp;</span>
					</span>
				</span>
			</td>
		</tr>
		<tr>
			<td colspan="9" style="border-color:black; border-style:solid; border-width:1px; height:36px; width:576px">
				<strong>
					<span style="color:#44546a">
						<span style="font-family:calibri">
							<span style="font-size:xx-large">???</span>
						</span>
					</span>
				</strong>
			</td>
		</tr>
		<tr>
			<td colspan="5" style="background-color:#00b0f0; border-color:black currentcolor black black; border-style:solid none solid solid; border-width:1px medium 1px 1px; height:21px; width:320px">
				<span style="font-size:small">
					<span style="font-family:calibri">
						<span style="color:#000000">start ok:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>
					</span>
				</span>
			</td>
			<td colspan="4" style="border-color:black black black currentcolor; border-style:solid solid solid none; border-width:1px 1px 1px medium; width:256px">
				<span style="color:#000000">
					<span style="font-family:calibri">
						<span style="font-size:small">uur</span>
					</span>
				</span>
			</td>
		</tr>
		<tr>
			<td colspan="5" style="background-color:#7030a0; border-color:black currentcolor black black; border-style:solid none solid solid; border-width:1px medium 1px 1px; height:21px; width:320px">
				<span style="font-size:small">
					<span style="font-family:calibri">
						<span style="color:#000000">einde ok:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>
					</span>
				</span>
			</td>
			<td colspan="4" style="border-color:black black black currentcolor; border-style:solid solid solid none; border-width:1px 1px 1px medium; width:256px">
				<u>
					<span style="color:#000000">
						<span style="font-family:calibri">
							<span style="font-size:small">uur</span>
						</span>
					</span>
				</u>
			</td>
		</tr>
		<tr>
			<td colspan="5" style="background-color:#8ea9db; border-color:black currentcolor black black; border-style:solid none solid solid; border-width:1px medium 1px 1px; height:21px; width:320px">
				<span style="font-size:small">
					<span style="font-family:calibri">
						<span style="color:#000000">totale tijd:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>
					</span>
				</span>
			</td>
			<td colspan="4" style="border-color:black black black currentcolor; border-style:solid solid solid none; border-width:1px 1px 1px medium; width:256px">
				<span style="color:#000000">
					<span style="font-family:calibri">
						<span style="font-size:small">uur</span>
					</span>
				</span>
			</td>
		</tr>
	</tbody>
</table>
